Genesiscare USA of Florida LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

GENESISCARE USA OF FLORIDA LLC

Doing business as

Itzhak I Shasha MD

Practice address

1201 N Olive Ave
West Palm Beach, FL 33401-3515

Phone

(561) 655-4334

Fax

(561) 655-9449

NPI assigned

Sep 22, 2015

Last updated

Aug 25, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

GENESISCARE USA INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dan Collins

Title

President

Phone

(239) 931-7275

Specialties & licenses 1

Addresses

Other names 1

• Itzhak I Shasha MD Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Networks

• HealthSun Health Plans Network

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1780053637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N OLIVE AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013515",
            "telephone_number": "561-655-4334",
            "fax_number": "561-655-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESISCARE USA OF FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESISCARE USA INC",
        "enumeration_date": "2015-09-22",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-931-7275"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Itzhak I Shasha MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Itzhak I Shasha MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Genesis Foot and Ankle Institute, Inc.
• Genesis Medical LLC
• Genesis Rehab Services
• Genesiscare USA of Florida LLC (Daniel K Hellerstein MD)
• Genesiscare USA of Florida LLC (Graduate Surgical)
• Genesiscare USA of Florida LLC (Hal J. Bashein DO)
• Nikerson Geneve, D.O.
• Gennaro Sagliocca, MD, PA
• Melina Macca Gennaro
• Genpsych LLC

• Surgery Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.